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| Name | Class |
|---|---|
| Novotech (Australia) Pty Limited | INDUSTRY |
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This randomized, double-blind study will assess the safety, pharmacokinetics and efficacy of a single and multiple dose(s) of orally QD administered EDP-494 in healthy volunteers (HV) and in treatment-naive subjects with GT1/3 chronic hepatitis C (CHC) infection.
The first phase explores single ascending doses of EDP-494 (active drug or placebo) in healthy subjects. A 'fasted' vs 'fed' two-part cohort will also assess food effect.
The second phase involves multiple ascending doses (active drug or placebo) for 14 days in healthy subjects.
The third, proof of concept, phase will assess two different doses for 14 days each in Hepatitis C patients.
Each cohort within each phase will consist of 8 subjects randomized to either EDP-494 or placebo in a 3 to 1 ratio, with the exception of the food effect cohort, which will consist of 10 subjects randomised in a 4 to 1 ratio.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| EDP-494 SAD Cohorts | Experimental | EDP-494, oral 50 mg, 100mg, 200mg, 400mg and 800 mg, capsules, once daily in one single administration |
|
| EDP-494 MAD/POC Cohorts | Experimental | EDP-494, oral 200mg, 400mg and 800 mg, capsules, once daily for 14 days |
|
| EDP-494 SAD Placebo Cohort | Placebo Comparator |
| |
| EDP-494 MAD/POC Placebo Cohort | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| EDP-494 | Drug | 10, 100 and 200 mg capsules |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Composite number and frequency of treatment emergent adverse events, physical examination findings, abnormal vital signs, 12 lead ECG, and abnormal clinical laboratory results administered to healthy volunteers and multiple doses of EDP-494 | Tabulation of the number and frequency of treatment emergent adverse events, physical examination findings, abnormal vital signs, 12 lead ECG, echo and abnormal clinical laboratory results (including chemistry, hematology, and urine). Administered to healthy volunteers and multiple doses of EDP-494 administered to healthy volunteers and subjects with Chronic Hepatitis C (CHC) genotype 1 and 3 infection | From screening and baseline to the 4 week follow-up visit |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax | EDP-494 and metabolites | 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24, 30, 36, 48, 60, 72 (Day 4), 96 (Day 5), 120 (Day 6)*, 144 (Day 7) and 168 (Day 8) hrs postdose |
| Cmax | EDP-494 and metabolites |
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Inclusion Criteria for Healthy Volunteers (SAD and MAD Phases):
Exclusion Criteria for Healthy Volunteers (SAD and MAD Phases):
Inclusion Criteria for HCV-Infected Subjects (POC Phase):
Exclusion Criteria for HCV-Infected Subjects (POC Phase):
Women of childbearing potential (WOCBP).
Pregnant or nursing females.
History of febrile illness within 7 days prior to the first dose of study drug.
A positive urine drug screen at screening unless on an approved prescription.
History of participation in a clinical trial with a polymerase inhibitor or previous treatment with a polymerase inhibitor, where at least one dose of the polymerase inhibitor was consumed. Subjects who were dosed with placebo on a clinical trial may be enrolled in this study.
Clinically significant electrocardiogram abnormalities or QTcF greater than 450 msec for males and 470 msec for females at either screening or baseline, or any prior history of QT abnormality.
Co-infection with HIV-1, HIV-2 or HBV.
Have clinically significant laboratory abnormalities at screening:
Patients with evidence of cirrhosis; cirrhosis is defined as any one of the following: a) any biopsy showing cirrhosis (Knodell score <3, Metavir score <3, Ishak score <4); b) Fibroscan evaluation within 6 months prior to screening with a liver stiffness score of ><12.5 kPa.
Other significant, unstable or uncontrolled medical history, such as neurological, endocrine, malignancy, renal, psychiatric, respiratory, cardiac, gastrointestinal, allergic, immunological, etc. disease.
Use of concomitant medications, including vitamins or herbal and dietary supplements within 7 days or 5 half-lives (whichever is longer) prior to the first dose of study medication
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| Name | Affiliation | Role |
|---|---|---|
| Edward Gane, MD | Auckland Clinical Studies (ACS), | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Auckland Clinical Studies Ltd | Auckland | 1150 | New Zealand |
Once the clinical study report has been submitted to the appropriate Regulatory authorities, a lay person summary will be provided to all study subjects by mail or email.
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| ID | Term |
|---|---|
| D006526 | Hepatitis C |
| ID | Term |
|---|---|
| D000086982 | Blood-Borne Infections |
| D003141 | Communicable Diseases |
| D007239 | Infections |
| D006525 | Hepatitis, Viral, Human |
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| Placebo |
| Drug |
placebo to match EDP-494 |
|
| Day 1: 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15 hrs; Days 2, 3, 5, 7, 9, 12: 0 (Predose); Day 14: 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24, 30, 36, 48, 60, 72, 96, 120, 144 and 168 hrs postdose |
| AUC | EDP-494 and metabolites | 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24, 30, 36, 48, 60, 72, 96, 120*, 144, and 168 hrs postdose |
| AUC | EDP-494 and metabolites | Day 1: 0, 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15 hrs; Days 2, 3, 5, 7, 9, 12: 0 (Predose);Day 14: 0 (predose), 0.5, 1, 2, 3, 4, 5, 6, 8, 10, 12, 15, 24, 30, 36, 48, 60, 72, 96, 120, 144 and 168 hrs postdose |
| Change from baseline in plasma HCV RNA (log10 IU/mL) | Baseline up to 14 days |
| Amino Acid Changes in HCV polymerase NS5b | Baseline up to 3 months |
| D014777 |
| Virus Diseases |
| D018178 | Flaviviridae Infections |
| D012327 | RNA Virus Infections |
| D006505 | Hepatitis |
| D008107 | Liver Diseases |
| D004066 | Digestive System Diseases |